Indiana
Professional Licensing Agency
Diedra Balsley
Temporary Physical Therapist Aassistant Permit
License number
99013755A
Date granted
08/06/2004
Date expires
11/04/2004
Class
Temporary Physical Therapist Aassistant Permit
Status
Expired
Address
Bremen IN 46506
indianalicensing.org
ID 8382905
LAST UPDATED 2024-03-30 02:37:54 UTC
LAST UPDATED 2024-03-30 02:37:54 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.